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INSERTION POINT

Posted by RACHAEL T. on 3/13/02 at 19:13 (076370)

For those of you who are further along in 'healing process' - is the insertion point the 'last' place to actually heal? I am feeling less pain over the entire foot - but pain is still at insertion point. I am hopeful that this is a good sign & that the insertion point is the next place that will heal???? Please correct me & advise on this; I appreciate your input!

Re: INSERTION POINT

DR Zuckerman on 3/13/02 at 19:23 (076372)

How long has it been for you ? Are you limping in the am. Is the insertional pain only when you press on it.?

Re: INSERTION POINT

RACHAEL T. on 3/13/02 at 22:09 (076396)

Thanks for your reply....No, I do not limp in the a.m; nor do I limp thru the day. I have 'soreness' but not the extreme pain prior to my Nov. ESWT. But, there is insertional pain when I press in that area; pain is also worsened if I am on cement or do too much with my job, horsetraining. Presently, I am doing phys. therapy (iontophoresis) - I am hoping that this therapy may take me closer to 'painfree,' At the end of March, 2001, is when P.F. initially began - so PF & I have become 'close acquaintances ' over this past year!!! I am ready for Mr. P.F. to depart!! (-:

Re: INSERTION POINT

DR Zuckerman on 3/13/02 at 22:18 (076397)

Good.

It is going to take time. You still have healing going on. The soreness is gonig to take some time. Physical therapy is a very good idea. How long has it been for you so far.

Re: INSERTION POINT

RACHAEL T. on 3/14/02 at 10:06 (076418)

In ans. to your ? - Dr. Z.....it has been since March 2001 that my PF began & it has been since November 2001, since my first ESWT treatment......Prior to the ESWT, I had 9 cort. injections & tapings, & ultrasound.....& just last week I began phys. therapy - & it is just now, that the heel pain has popped back up - before that....I had overall soreness mainly....the heelpain reoccuring has me a bit worried - wondering if the stretching is too much....or if I just may have overdone it; or if this is normal realm of healing process. Thank you much for your response!

Re: INSERTION POINT

john h on 3/14/02 at 14:04 (076432)

Of course follow your doctors advice but many on this board have found that improper stretching and the wrong stretches can be 'VERY' counter productive. I have seen many post including my own that hanging on stairways on your toes and dropping down is a no no. Julie is sort of our resident expert on stretching and is a long time teacher of Yoga. She is a strong advocate of non weight bearing stretiching. When I was having physical thearpy for PF they had me doing some stretching that actually made my condition worse. I think if you sort of follow what your body tells you and that is if it causes pain do not do it might make some sense in this case.

Re: INSERTION POINT

Dr. Zuckerman on 3/14/02 at 14:45 (076433)

May need a second treatment . I am sure your doctor has evaluated you to see if you need a seond treatment

Re: INSERTION POINT

Julie on 3/14/02 at 16:01 (076438)

Rachael, what stretches is your PT asking you to do?

I agree with John. If you've noticed that your pain has come back since you started the new treatment, it's probably due to over-stretching. Many doctors and physical therapists recommend weight bearing stretching for PF, and who am I to argue with them. BUT I've now heard too many stories of conditions worsening following the recommended stretches. I'd be careful, if I were you, and don't do anything that hurts you, whoever recommends it.

Re: INSERTION POINT

Rich on 3/15/02 at 09:40 (076502)

Thanks for your post...after dealing with PF in my left foot with success, my right foot started hurting. Once I went back to PT, the therapist checked out my left foot again and I swear I hadn't noticed anything but soreness till he touched the insertion point. Walking left me with only a dull 1 on the pain scale, but the tenderness is still there in that exact spot only. Take it slow and ease back into your activities. Good Luck!

Re: INSERTION POINT

DR Zuckerman on 3/13/02 at 19:23 (076372)

How long has it been for you ? Are you limping in the am. Is the insertional pain only when you press on it.?

Re: INSERTION POINT

RACHAEL T. on 3/13/02 at 22:09 (076396)

Thanks for your reply....No, I do not limp in the a.m; nor do I limp thru the day. I have 'soreness' but not the extreme pain prior to my Nov. ESWT. But, there is insertional pain when I press in that area; pain is also worsened if I am on cement or do too much with my job, horsetraining. Presently, I am doing phys. therapy (iontophoresis) - I am hoping that this therapy may take me closer to 'painfree,' At the end of March, 2001, is when P.F. initially began - so PF & I have become 'close acquaintances ' over this past year!!! I am ready for Mr. P.F. to depart!! (-:

Re: INSERTION POINT

DR Zuckerman on 3/13/02 at 22:18 (076397)

Good.

It is going to take time. You still have healing going on. The soreness is gonig to take some time. Physical therapy is a very good idea. How long has it been for you so far.

Re: INSERTION POINT

RACHAEL T. on 3/14/02 at 10:06 (076418)

In ans. to your ? - Dr. Z.....it has been since March 2001 that my PF began & it has been since November 2001, since my first ESWT treatment......Prior to the ESWT, I had 9 cort. injections & tapings, & ultrasound.....& just last week I began phys. therapy - & it is just now, that the heel pain has popped back up - before that....I had overall soreness mainly....the heelpain reoccuring has me a bit worried - wondering if the stretching is too much....or if I just may have overdone it; or if this is normal realm of healing process. Thank you much for your response!

Re: INSERTION POINT

john h on 3/14/02 at 14:04 (076432)

Of course follow your doctors advice but many on this board have found that improper stretching and the wrong stretches can be 'VERY' counter productive. I have seen many post including my own that hanging on stairways on your toes and dropping down is a no no. Julie is sort of our resident expert on stretching and is a long time teacher of Yoga. She is a strong advocate of non weight bearing stretiching. When I was having physical thearpy for PF they had me doing some stretching that actually made my condition worse. I think if you sort of follow what your body tells you and that is if it causes pain do not do it might make some sense in this case.

Re: INSERTION POINT

Dr. Zuckerman on 3/14/02 at 14:45 (076433)

May need a second treatment . I am sure your doctor has evaluated you to see if you need a seond treatment

Re: INSERTION POINT

Julie on 3/14/02 at 16:01 (076438)

Rachael, what stretches is your PT asking you to do?

I agree with John. If you've noticed that your pain has come back since you started the new treatment, it's probably due to over-stretching. Many doctors and physical therapists recommend weight bearing stretching for PF, and who am I to argue with them. BUT I've now heard too many stories of conditions worsening following the recommended stretches. I'd be careful, if I were you, and don't do anything that hurts you, whoever recommends it.

Re: INSERTION POINT

Rich on 3/15/02 at 09:40 (076502)

Thanks for your post...after dealing with PF in my left foot with success, my right foot started hurting. Once I went back to PT, the therapist checked out my left foot again and I swear I hadn't noticed anything but soreness till he touched the insertion point. Walking left me with only a dull 1 on the pain scale, but the tenderness is still there in that exact spot only. Take it slow and ease back into your activities. Good Luck!